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General NPI Number Information
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NPI Number | 1902854375
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Entity Type | Organization
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Legal Business Name | THOMAS M ROCCHIO PODIATRY, LLC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 2895 HAMILTON BLVD SUITE 101
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City | ALLENTOWN
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State | PA
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Zip | 18104-6172
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Country | US
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Telephone | 610-437-1500
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Fax | 610-437-1555
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Provider Business Mailing Address
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Address Line | 2895 HAMILTON BLVD SUITE 101
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City | ALLENTOWN
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State | PA
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Zip | 18104-6172
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Country | US
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Telephone | 610-437-1500
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Fax | 610-437-1555
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. THOMAS M ROCCHIO
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Credential | D.P.M.
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Telephone | 610-437-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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